| NPI | 1154918332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MO 2023042388) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: MO 2010004932) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2024-01-04 |